Arid
DOI10.1098/rstb.2006.1816
Healthcare utilization and mortality among veterans of the Gulf War
Gray, GC; Kang, HK
通讯作者Gray, GC
来源期刊PHILOSOPHICAL TRANSACTIONS OF THE ROYAL SOCIETY B-BIOLOGICAL SCIENCES
ISSN0962-8436
出版年2006
卷号361期号:1468页码:553-569
英文摘要

The authors conducted an extensive search for published works concerning healthcare utilization and mortality among Gulf War veterans of the Coalition forces who served during the 1990-1991 Gulf War. Reports concerning the health experience of US, UK, Canadian, Saudi and Australian veterans were reviewed. This report summarizes 15 years of observations and research in four categories: Gulf War veteran healthcare registry studies, hospitalization studies, outpatient studies and mortality studies. A total of 149 728 (19.8%) of 756 373 US, UK, Canadian and Australian Gulf War veterans received health registry evaluations revealing a vast number of symptoms and clinical conditions but no suggestion that a new unique illness was associated with service during the Gulf War. Additionally, no Gulf War exposure was uniquely implicated as a cause for post-war morbidity. Numerous large, controlled studies of US Gulf War veterans’ hospitalizations, often involving more than a million veterans, have been conducted. They revealed an increased post-war risk for mental health diagnoses, multi-symptom conditions and musculoskeletal disorders. Again, these data failed to demonstrate that Gulf War veterans suffered from a unique Gulf War-related illness. The sparsely available ambulatory care reports documented that respiratory and gastrointestinal complaints were quite common during deployment. Using perhaps the most reliable data, controlled mortality studies have revealed that Gulf War veterans were at increased risk of injuries, especially those due to vehicular accidents. In general, healthcare utilization data are now exhausted. These findings have now been incorporated into preventive measures in support of current military forces. With a few diagnostic exceptions such as amyotrophic lateral sclerosis, mental disorders and cancer, it now seems time to cease examining Gulf War veteran morbidity and to direct future research efforts to preventing illness among current and future military personnel.


英文关键词Persian Gulf Syndrome Gulf War Syndrome veterans
类型Review
语种英语
国家USA
收录类别SCI-E ; SSCI
WOS记录号WOS:000236672100004
WOS关键词OPERATION-DESERT-SHIELD ; DEPARTMENT-OF-DEFENSE ; POSTWAR HOSPITALIZATION EXPERIENCE ; COMPREHENSIVE CLINICAL-EVALUATION ; CHEMICAL MUNITIONS DESTRUCTION ; AMYOTROPHIC-LATERAL-SCLEROSIS ; POSTTRAUMATIC-STRESS-DISORDER ; MEDICAL ASSESSMENT PROGRAM ; POPULATION-BASED SURVEY ; US MILITARY PERSONNEL
WOS类目Biology
WOS研究方向Life Sciences & Biomedicine - Other Topics
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/152713
作者单位(1)Univ Iowa, Coll Publ Hlth, Dept Epidemiol, Iowa City, IA 52242 USA;(2)Dept Vet Affairs, Environm Epidemiol Serv, Washington, DC 20420 USA
推荐引用方式
GB/T 7714
Gray, GC,Kang, HK. Healthcare utilization and mortality among veterans of the Gulf War[J],2006,361(1468):553-569.
APA Gray, GC,&Kang, HK.(2006).Healthcare utilization and mortality among veterans of the Gulf War.PHILOSOPHICAL TRANSACTIONS OF THE ROYAL SOCIETY B-BIOLOGICAL SCIENCES,361(1468),553-569.
MLA Gray, GC,et al."Healthcare utilization and mortality among veterans of the Gulf War".PHILOSOPHICAL TRANSACTIONS OF THE ROYAL SOCIETY B-BIOLOGICAL SCIENCES 361.1468(2006):553-569.
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